Individual
MADISON BENTLEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L.6002R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2023
Last updated
06/25/2024
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